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Research as a Pillar of Our Practice. 案例管理的心跳:作为我们实践支柱的研究。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000854
Colleen Morley
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引用次数: 0
Reducing Readmission Rates in Heart Failure Patients Aged 60 and Older Through Education and Follow-Up Calls. 通过教育和随访电话降低60岁及以上心力衰竭患者的再入院率。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000860
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引用次数: 0
Simple Things. 简单的事情。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000851
Suzanne K Powell

At a time when the geopolitical environment (including health care) seem chaotic and daunting, there are some timeless aspects that only the humanity of case managers can bring to the table. These "simple things" may be the most important-and are what keeps us "human".

在地缘政治环境(包括医疗保健)看起来混乱而令人生畏的时候,只有案例管理人员的人性才能带来一些永恒的方面。这些“简单的事情”可能是最重要的,也是让我们保持“人性”的原因。
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引用次数: 0
Development of the Self-Administered Health Complexity Screening Instrument. 自我管理健康复杂性筛查仪的研制
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000845
Sheila Specker, Rachel Andrew, Emily Drexler, Emily Koithan, Steven Thurber, Steven Frankel
<p><strong>Purpose: </strong>The purpose of the study was to develop a self-administered screening tool to assist case managers, primary care physicians, and other clinicians in quickly and accurately identifying patients with complex health needs who require a definitive and detailed case management evaluation. In addition to medical and psychiatric items, this tool incorporates multiple social determinants of health (SDOH), known to add to clinical complexity.</p><p><strong>Primary practice setting: </strong>This instrument is most appropriate for identifying patients with high complexity in the primary care sector. Due to the abundance of such patients with high biopsychosocial complexity and costs of treating these patients, this tool can select those patients at greatest need for more detailed and comprehensive evaluation and treatment planning to identify and address the patient's barriers to health improvement.</p><p><strong>Methodology and sample: </strong>Potential participants were recruited from medical, psychiatric, and addiction outpatient and inpatient settings at a large metropolitan medical center. In Phase 1 of the study, a pool of potential screening items was drawn from several sources: the self-rated and interviewer-rated Patient Centered Assessment Method (PCAM; Pratt et al., 2015 ), the INTERMED self-assessment instrument (IMSA; Van Reedt Dortland et al., 2017), and additional items generated by one of the authors (S.A.F.). Forty participants completed this phase. Statistical analyses yielded a homogeneous scale with a smaller number of items. The screening instrument (Health Complexity Screener [HCS]) was then correlated with the criterion measure, the Value-Based Integrated Case Management Complexity Assessment Grid (VB-ICM-CAG; Kathol et al., 2018 ) with 35 participants, resulting in a receiver operating characteristic (ROC) analysis.</p><p><strong>Results: </strong>Sixteen items were selected from a larger item pool based on item total correlations. This instrument was then correlated with the gold standard VB-ICM-CAG, and the internal consistency reliability was assessed (standardized coefficient alpha of .892). The VB-ICM-CAG criterion measure was dichotomized at the median value. An ROC curve analysis produced a cut score on the Screener that best represented the tradeoff between an elevated proportion of true positive (TP) rates above the median and a low proportion of false positive (FP) rates. The summary finding of predictive accuracy or area under the curve (AUC) was .83 ( p = .001), with a TP rate of .81 and a FP rate of .21. These data suggest a screening instrument with acceptable psychometric characteristics.</p><p><strong>Implications for case management practice: </strong>For patients of Primary Care Clinics, Mental Health Clinics, and/or Behavioral Health Providers, the HCS is an efficient way to screen all new patients, quickly identifying those who need additional case management assessment and/or assist
目的:本研究的目的是开发一种自我管理的筛查工具,以帮助病例管理人员、初级保健医生和其他临床医生快速准确地识别需要明确和详细的病例管理评估的复杂健康需求患者。除了医学和精神病学项目外,该工具还纳入了已知会增加临床复杂性的多种健康社会决定因素(SDOH)。初级保健设置:该仪器最适合于识别初级保健部门中高度复杂的患者。由于大量此类患者具有较高的生物心理社会复杂性和治疗这些患者的成本,该工具可以选择那些最需要更详细和全面的评估和治疗计划的患者,以识别和解决患者健康改善的障碍。方法和样本:潜在的参与者从大型大都市医疗中心的医学、精神病学和成瘾门诊和住院设置中招募。在研究的第一阶段,从几个来源提取了潜在的筛查项目:自评和访谈者自评的以患者为中心的评估方法(PCAM; Pratt等人,2015),INTERMED自评工具(IMSA; Van Reedt Dortland等人,2017),以及一位作者(S.A.F.)生成的附加项目。40名参与者完成了这一阶段。统计分析得出了一个项目数量较少的同质量表。然后将筛查工具(健康复杂性筛查器[HCS])与标准测量相关联,即基于价值的综合病例管理复杂性评估网格(VB-ICM-CAG; Kathol等人,2018),有35名参与者,从而进行受试者工作特征(ROC)分析。结果:根据项目总相关性,从较大的项目池中选择了16个项目。然后将该仪器与金标准cb - icm - cag进行相关性分析,并进行内部一致性信度评估(标准化系数α为0.892)。在中位数处对VB-ICM-CAG标准测量进行二分类。ROC曲线分析在筛选器上产生了一个切割分数,该分数最好地代表了高于中位数的真阳性(TP)率的高比例和假阳性(FP)率的低比例之间的权衡。预测准确度或曲线下面积(AUC)的总结结果为。83例(p = .001), TP率为。81, FP率为0.21。这些数据表明筛选工具具有可接受的心理测量特征。对病例管理实践的影响:对于初级保健诊所、心理健康诊所和/或行为健康提供者的患者,HCS是筛查所有新患者的有效方法,可以快速识别那些需要额外的病例管理评估和/或协助以遵循其提供者的治疗计划的患者。对于设施护理的患者(例如,住院患者、住院治疗机构和熟练护理机构),该筛查工具将通过快速识别由于遵循出院计划的障碍而再次入院的高风险患者来增强出院计划过程。对于保险案件管理人员来说,该工具将是一种有效的方法,可以帮助入会协调员有效地筛选和识别复杂案件管理的成员,而不是那些从不那么密集的案件管理服务中受益的成员。
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引用次数: 0
Thematic Analysis of Informal Case Management Skill Building Necessary to Navigate the Homeless Services System. 无家可归者服务系统所需的非正式个案管理技能建设专题分析。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000853
Richard Southee, Johanna Jorgenson, Cindi SturtzSreetharan
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引用次数: 0
Legal, Ethical, and Policy Implications for Professional Case Managers Operating in Areas of War, Conflict, and Disaster. 法律,道德和政策对职业案例管理人员在战争,冲突和灾难领域的影响。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000852
Hussein M Tahan
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引用次数: 0
A Qualitative Analysis of Shift Handoff Communication Practices Among Tele-ICU Clnicians. 远程icu临床医生换班沟通实践的定性分析。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000859
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引用次数: 0
Reducing Readmission Rates in Heart Failure Patients Aged 60 and Older Through Education and Follow-Up Calls. 通过教育和随访电话降低60岁及以上心力衰竭患者的再入院率。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000843
Harriet Sono

Purpose of study: This study aimed to assess the effectiveness of postdischarge follow-up calls and patient education in reducing 30-day readmission rates for congestive heart failure (CHF) patients aged 60 and older. CHF is a common and debilitating condition, especially in older adults, leading to poor health outcomes and rising health care costs. As the number of CHF patients is projected to exceed 8 million by 2030, managing high readmission rates remains a major challenge in health care.

Primary practice settings: The study took place in the cardiovascular unit of a hospital, focusing on patients who had recently been discharged following a CHF-related hospitalization.

Methodology and sample: A quantitative design was used, with 12 CHF patients participating in the study. Participants received educational materials about managing their health, adhering to medications, and scheduling follow-up appointments. They also received follow-up calls to monitor progress and offer support. Data were collected before and after the intervention, and statistical analyses were performed to compare 30-day readmission rates between the two groups.

Results: The results indicated no statistically significant difference in readmission rates between the pre- and postintervention groups (p = .138). This lack of significance may be attributed to the small sample size or the limited effectiveness of the intervention.

Implications for case management practice: The study suggests that postdischarge follow-up calls and patient education alone may not be sufficient to reduce readmissions. Case management should focus on more comprehensive interventions, improved care coordination, and exploring alternative models of care, such as community-based or integrated care teams. Further research is needed to identify more effective strategies to address CHF readmissions.

研究目的:本研究旨在评估出院后随访电话和患者教育在降低60岁及以上充血性心力衰竭(CHF)患者30天再入院率方面的有效性。慢性心力衰竭是一种常见的使人衰弱的疾病,特别是在老年人中,导致健康结果不佳和卫生保健费用上升。到2030年,预计瑞士法郎患者人数将超过800万,因此管理高再入院率仍然是卫生保健领域的一项重大挑战。主要实践环境:该研究在一家医院的心血管科进行,重点是最近因chf相关住院后出院的患者。方法和样本:采用定量设计,12例CHF患者参与研究。参与者收到了关于管理健康、坚持服药和安排随访预约的教育材料。他们还接到了后续电话,以监测进展并提供支持。收集干预前后数据,对两组患者30天再入院率进行统计分析比较。结果:干预前后两组再入院率差异无统计学意义(p = 0.138)。这种缺乏意义可能是由于样本量小或干预措施的有效性有限。对病例管理实践的启示:该研究表明,出院后随访电话和患者教育可能不足以减少再入院。病例管理应侧重于更全面的干预措施,改善护理协调,并探索其他护理模式,如以社区为基础或综合护理小组。需要进一步研究以确定更有效的策略来解决心力衰竭再入院问题。
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引用次数: 0
Building Tomorrow Through Case Management Excellence: Celebrating Vision, Innovation, and Leadership. 通过卓越的案例管理建设明天:庆祝远见、创新和领导力。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000850
Janet Coulter
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引用次数: 0
Advocacy in a Time of Divisive Discourse. 话语分裂时代的倡导。
IF 0.9 Q4 HEALTH CARE SCIENCES & SERVICES Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1097/NCM.0000000000000849
Patricia Nunez, R Keith Franklin
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引用次数: 0
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